title: New therapeutics in promoting and modulating mandibular growth in cases with mandibular hypoplasia.
abstract: Children with mandibular growth deficiency may develop airway obstruction. The standard treatment of severe airway obstruction involves invasive procedures such as tracheostomy. Mandibular distraction osteogenesis has been proposed in neonates with mandibular deficiency as a treatment option to avoid tracheostomy procedure later in life. Both tracheostomy and distraction osteogenesis procedures suffer from substantial shortcomings including scarring, unpredictability, and surgical complications. Forward jaw positioning appliances have been also used to enhance mandible growth. However, the effectiveness of these appliances is limited and lacks predictability. Current and future approaches to enhance mandibular growth, both experimental and clinical trials, and their effectiveness are presented and discussed.
authors.affiliation: 7-020D Katz Group Centre for Pharmacy and Health Research, University of Alberta, Edmonton, AB, Canada T6G 2E1. telbialy@ualberta.ca
authors.forename: Tarek
authors.initials: T
authors.lastname: El-Bialy
authors.forename: Adel
authors.initials: A
authors.lastname: Alhadlaq
mesh_terms: D006801:Humans; D008334:Mandible / Q000002:abnormalities* / Q000254:growth & development*; D008336:Mandibular Diseases / Q000473:pathology* / Q000628:therapy*; D013577:Syndrome; D014465:Ultrasonics